NEW AGE MED CLINIC
NPI 1831065481
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Boise, ID

Active since October 13, 2025
3501 W ELDER ST STE 102, BOISE, ID 83705(208) 573-3053 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Age Med Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW AGE MED CLINIC (NPI 1831065481) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in Boise, Idaho and active in the NPI registry since October 2025. The organization lists James Donnelly, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1831065481
Entity TypeOrganization
Primary Taxonomy2084B0040X
Legal Business NameNEW AGE MED CLINIC
Location Address3501 W ELDER ST STE 102Boise, ID 83705-4986
Mailing Address4320 W Edgemont StBoise, ID 83706-2304
Organization SubpartNo
Authorized OfficialJames DonnellyCo-owner · (208) 573-3053
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 12, 2025
NPI 1831065481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
3501 W ELDER ST STE 102, Boise, ID 83705

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
3501 W ELDER ST STE 102
BOISE, ID 83705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Age Med Clinic's NPI number?

The NPI number for New Age Med Clinic is 1831065481. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is New Age Med Clinic located?

New Age Med Clinic is located at 3501 W Elder St Ste 102, Boise, ID 83705. The listed phone number is (208) 573-3053.

What is New Age Med Clinic's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

When was this NPI record last updated?

The NPPES record for New Age Med Clinic was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.